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Refractive Lensectomy
What
is PRK? (Photorefractive
Keratectomy) is a surgical procedure to correct low to high levels
of nearsightedness, farsightedness, and astigmatism.
PRK
differs from LASIK in that no flap is created before applying
the laser. The surface cells of the cornea (epithelium) are removed
prior to the laser reshaping the cornea. A "band-aid"
contact lens is placed on the eye after the procedure to protect
it as the epithelium replaces itself. There is more discomfort
with PRK due to the longer healing time. During this healing time,
the vision is blurry and gradually clears up over the next few
weeks. Because of this, sometimes one eye is done at a time to
allow good vision to return before doing the other eye.
What
is LASEK?
(Laser Assisted Epithelial Keratomileusis) is a variation of PRK
to correct low to high levels of nearsightedness, farsightedness,
and astigmatism. The eye is covered with a diluted alcohol solution
that loosens the edges of the epithelium (surface cells of the
cornea). The epithelial flap is gently folded back out of the
way. The excimer laser then sculpts the corneal tissue undemeath.
The use of the epithelial flap may reduce haze postoperatively
and improve healing time. As with PRK, it takes several weeks
for the vision to improve.